﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Site.Master" AutoEventWireup="true" CodeBehind="ContactUs.aspx.cs" Inherits="HealthInsuranceMgm.Contact_Us" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
    <form id="form1" runat="server">
    <table style="width: 100%">
        <tr>
            <td style="padding: 2px; margin: 2px; height: 19px; font-size: x-large; color: #008000;" 
                align="center" bgcolor="#CCFF99" colspan="3">
                CONTACT US</td>
        </tr>
        <tr>
            <td style="height: 19px" width="20%" colspan="3">
                </td>
            </tr>
        <tr>
            <td style="height: 20px" colspan="3">
                <p style="margin: 0px 0px 20px; padding: 0px; border: 0px; font-family: Arial, Helvetica, sans-serif; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; line-height: 23px; vertical-align: baseline; color: rgb(34, 34, 34); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);">
                    Mọi vấn đề thắt mắc, bức xúc, góp ý về HealthIsuranceMgm vui lòng liên hệ với 
                    tôi qua form liên hệ dưới đây hoặc gửi về:</p>
                <ul style="margin: 0px 20px 20px 0px; padding: 0px 0px 0px 40px; border: 0px; font-family: Arial, Helvetica, sans-serif; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; line-height: 23px; vertical-align: baseline; list-style: disc; color: rgb(34, 34, 34); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);">
                    <li style="border-style: none; border-color: inherit; border-width: 0px; margin: 0px; padding: 0px; font-family: inherit; font-size: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; vertical-align: baseline; width: 273px;">
                        Email: HealthIsuranceMgm.net@gmail.com.</li>
                    <li style="margin: 0px; padding: 0px; border: 0px; font-family: inherit; font-size: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; vertical-align: baseline;">
                        Nick Yh: chuan_khongphaichinh@yahoo.com</li>
                    <li style="margin: 0px; padding: 0px; border: 0px; font-family: inherit; font-size: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; vertical-align: baseline;">
                        Skype: chuankpc</li>
                </ul>
                <p style="margin: 0px 0px 20px; padding: 0px; border: 0px; font-family: Arial, Helvetica, sans-serif; font-size: 15px; font-style: normal; font-variant: normal; font-weight: normal; line-height: 23px; vertical-align: baseline; color: rgb(34, 34, 34); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);">
                    HealthIsuranceMgm sẽ đón nhận mọi ý kiến của bạn.</p>
                </td>
            </tr>
        <tr>
            <td style="height: 20px" width="20%" align="center" colspan="3">
                <asp:Label ID="lblMessage" runat="server" ForeColor="Red"></asp:Label>
                </td>
            </tr>
        <tr>
            <td style="height: 24px" colspan="3">
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                Full Name</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:TextBox ID="txtFullName" runat="server" Width="250px"></asp:TextBox>
                </td>
            <td style="height: 20px; width: 580px; color: #FF0000;" width="55%">
                <br />
                *
                <asp:RequiredFieldValidator ID="RequiredFieldValidator9" runat="server" 
                    ControlToValidate="txtFullName" ErrorMessage="Require Type" 
                    ForeColor="Red"></asp:RequiredFieldValidator>
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                Address</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:TextBox ID="txtAddress" runat="server" Width="250px"></asp:TextBox>
                </td>
            <td style="height: 20px; width: 580px; color: #FF0000;" width="55%">
                <br />
                *
                <asp:RequiredFieldValidator ID="RequiredFieldValidator10" runat="server" 
                    ControlToValidate="txtAddress" ErrorMessage="Require Type" ForeColor="Red"></asp:RequiredFieldValidator>
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                Phone</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:TextBox ID="txtPhone" runat="server" Width="250px"></asp:TextBox>
                </td>
            <td style="height: 20px; width: 580px;" width="55%">
                <br />
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                Email</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:TextBox ID="txtEmail" runat="server" Width="250px"></asp:TextBox>
                </td>
            <td style="height: 20px; width: 580px;" width="55%">
                <asp:RegularExpressionValidator ID="RegularExpressionValidator1" runat="server" 
                    ControlToValidate="txtEmail" ErrorMessage="RegularExpressionValidator" 
                    ForeColor="Red" SetFocusOnError="True" 
                    ValidationExpression="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*">Email False</asp:RegularExpressionValidator>
                <br />
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                Message</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:TextBox ID="txtMessage" runat="server" Height="99px" 
                    TextMode="MultiLine" Width="330px"></asp:TextBox>
                </td>
            <td style="height: 20px; width: 580px; color: #FF0000;" width="55%">
                <br />
                <br />
                * 
                <asp:RequiredFieldValidator ID="RequiredFieldValidator11" runat="server" 
                    ControlToValidate="txtMessage" ErrorMessage="Require Type" ForeColor="Red"></asp:RequiredFieldValidator>
                <br />
                <br />
                <br />
                <br />
                <br />
                </td>
            </tr>
        <tr>
            <td style="height: 20px; width: 456px;">
                &nbsp;</td>
            <td style="height: 20px; width: 580px;" width="25%">
                <asp:Button ID="btnSend" runat="server" onclick="btnSend_Click" Text="Send" 
                    Width="80px" />
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                <asp:Button ID="btnReset" runat="server" onclick="btnReset_Click" Text="Reset" 
                    Width="80px" />
                </td>
            <td style="height: 20px; width: 580px;" width="55%">
                <br />
                <br />
                </td>
            </tr>
    </table>
    </form>
</asp:Content>
